Revisiting QRS detection methodologies for portable, wearable, battery-operated, and wireless ECG systems

Cardiovascular diseases are the number one cause of death worldwide. Currently, portable battery-operated systems such as mobile phones with wireless ECG sensors have the potential to be used in continuous cardiac function assessment that can be easily integrated into daily life. These portable point-of-care diagnostic systems can therefore help unveil and treat cardiovascular diseases. The basis for ECG analysis is a robust detection of the prominent QRS complex, as well as other ECG signal characteristics. However, it is not clear from the literature which ECG analysis algorithms are suited for an implementation on a mobile device. We investigate current QRS detection algorithms based on three assessment criteria: 1) robustness to noise, 2) parameter choice, and 3) numerical efficiency, in order to target a universal fast-robust detector. Furthermore, existing QRS detection algorithms may provide an acceptable solution only on small segments of ECG signals, within a certain amplitude range, or amid particular types of arrhythmia and/or noise. These issues are discussed in the context of a comparison with the most conventional algorithms, followed by future recommendations for developing reliable QRS detection schemes suitable for implementation on battery-operated mobile devices.Mohamed Elgendi, Björn Eskofier, Socrates Dokos, Derek Abbot

Thermographical Analysis of Paper During Tensile Testing and Comparison to Digital Image Correlation

The thermal response in paper has been studied by thermography. It was observed that an inhomogeneous deformation pattern arose in the paper samples during tensile testing. In the plastic regime a pattern of warmer streaks could be observed in the samples. On the same samples digital image correlation (DIC) was used to study local strain fields. It was concluded that the heat patterns observed by thermography coincided with the deformation patterns observed by DIC. Because of its fibrous network structure, paper has an inhomogeneous micro-structure, which is called formation. It could be shown that the formation was the cause of the inhomogeneous deformations in paper. Finite element simulations was used to show how papers with different degrees of heterogeneity would deform. Creped papers, where the strain at break has been increased, were analysed. For these paper it was seen that an overlaid compaction of the paper was created during the creping process. During tensile testing this was recovered as the paper network structure was strained